TLDR: Originally diagnosed with gastroenteritis. Treatment was a cup of water. Went back to ER a week later, new ER doc was visibly displeased when told how my gastroenteritis was treated, proceeded to give me more treatment for gastritis than I was given the week before when I was in the worse shape. I want to know the proper treatment for gastroenteritis because I don't think a cup of water is how it's supposed to be treated.
I was diagnosed with gastroenteritis in October, I was given no antibiotics, painkillers, or fluids, was given a cup of water, and released with a Lomotil prescription and like 2 Zofran pills. I want to know why when I returned to the ER a week later for almost the same issue (diagnosed with gastritis this time) why my ER doc (different from the first original visit) got visibly displeased when I told him exactly what my treatment was, here's all the information, this is going to be as detailed as possible so it's a read. (Thank you all healthcare workers for everything you do!)
22F, originally from Massachusetts and moved to California last year. I noticed an internal change immediately when I moved, my bowel movements went from solid regular movements, to more mushy. I paid no attention to it because I had JUST made one of the biggest changes in my life (at this point in my life) The only thing that changed in my diet was due to my access to an ice/water machine, I stopped drinking from bottled water and cut out fast food for the most part.
A full year since moving, so October, I get sick. I pay no mind to it because my fiance works in retail and frequently brings home colds. However this was different from a cold, I had a low fever and I was constantly throwing up with diarrhea. I counted the amount of times I threw up from the day I started throwing up to when I finally went to the ER. I threw up 11 times in 3 days and had diarrhea all day throughout those 3 days. I was unable to eat or drink those 3 days, anything I ingested WOULD come out on way or another. Another thing that was a MAJOR red flag was the amount of stomach pain I had. If I had to rate it using the pain scale seen in ERs, I'd say I was at a solid 7-8 during the day and a 9 when trying to sleep.
I finally call my parents (because the way I was raised, we would never go to the doctors unless my parents thought it was bad, and if they thought it was bad, it meant it was bad) to ask if they would take me to the doctor if I was at home and going through this and they said yes. I was hesitant due to my lack of insurance (I qualified for temp insurance thankfully) but I went. When asked for a urine sample it was brown, essentially. I was severely dehydrated and I wasn't surprised, I had been unable to keep fluids down for 3 days.
I patiently waited in the ER for about 7-8 hours (total), they gave me Zofran when they took me back (So close to me admitting myself) and it helped me immediately. I saw my doctor and he did nothing to me. No tests, nothing. Asked what was wrong with me, what I was going through, and then left because they were still waiting on my urine sample to finish being tested. When he finally did come back I was told essentially: "Yeah, the port strikes effecting the east coast makes it so we have no saline to spare you so we can't give you IV fluids. We're gonna give you some water and if you can keep it down you can leave." I asked for clarification that they were saving IV fluids for higher priority patients and I was told yes. Okay, my doctor says I should technically be fine, so I drink the water and they let me leave.
A week later I return. I'm in agony again and the vomiting and diarrhea have started again. Go through the process all over again, blah blah blah, lets skip to when I get my new doc. New doc arrives and I give him the rundown. Was asked the diagnosis and I told him gastro. He asked how I was treated and when I told him the excuse (which I'm not disputing!) I was given and that I was told to drink water, he had a visible head jerk backwards and said "Oh." I'm good at reading people and the way this man responded, it was clear he wasn't too happy.
He sets me up with IV fluids, as well as a wonderful cocktail of tramadol, lomotil, and zofran. I get taken to do a CT scan so they can check my stomach. It took a while, but I finally got out of the ER and back home at about 1am. I had spent another almost 12 hours in the ER but this time I had gotten the help I felt I needed. I was sent home with scripts for all the medications that were put into the IV as well as sucrulfate and omeprazole because he had the hunch I MAY have stomach ulcers (I wouldn't be surprised if they were stress induced. Can somebody also explain how those would works for ulcers? I didn't quite understand!) so I was also sent home with the recommendation of once I get health insurance to go and talk to a GI specialist to get scoped.
I want to know why my second doctor treated me the way he did but my first one didn't. What was so different about the second visit that I got prescribed a goddamn opiate for my pain which was considerably less than the first time, but the first visit I kinda just got brushed off. I understand how hard everybody in the healthcare field works, and I appreciate every one of you, I understand that sometimes it's just tough noogies, but I just want to understand better why I was treated so differently the second time when I was in considerably worse shape (especially given how dehydrated I was) the first time I went.